Individual
KIMBERLY R KAVULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6847 N CHESTNUT ST STE 210, RAVENNA, OH 44266-3929
(330) 297-6060
(216) 201-7846
Mailing address
6847 N CHESTNUT ST STE 210, RAVENNA, OH 44266-3929
(330) 297-6060
(216) 201-7846
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025730
OH
Other
Enumeration date
10/21/2019
Last updated
12/22/2020
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